Kua tono atu tō tākuta kia inu koe i tētahi wai reka, kia whakamātauria hoki tō toto? He maha ngā tāngata e whakaaro ana he aha tēnei, he aha hoki te take e mahia ana, ā, tera pea ka mataku. Engari ehara i te mea hei wehi. He whakamātautau tino noa tēnei e mahia ana hei rapu i ngā mōhiohio tino nui mō tō hauora. Nō reira, i tēnei rā, me kōrero tātou mō tēnei Whakamātautau Manawanui Huka Waha, arā, te OGTT e mōhiotia ana e tātou katoa.
He aha tēnei OGTT?
He whakarāpopototanga noa iho, he whakamātautau te OGTT e ine ana i te pai o te whakahaere a tō tinana i te pūtake pūngao o te huka. Ka taea e tēnei te hoatu ki tō tākuta ētahi tohu nui mō tō hauora.
Ina kai tātou, ka piki ake te taumata o te huka toto. Kātahi ka puta he homoni e kiia nei ko te repe taiaki, kei roto i te puku, e kiia nei ko te insulin . Whakaarohia ngā pūtau o tō tinana he whare iti. Ko te huka e riro mai ana i a koe mai i te kai e kainga ana e koe te pūngao e hiahiatia ana e ēnei whare. Nō reira, he rite te insulin ki te kī e tango ana i tēnei huka, e whakatuwhera ana i ngā tatau o ngā whare, ā, e tuku ana i te huka ki roto. Ina uru te huka ki roto i ngā pūtau, ka hoki ngā taumata huka toto ki te āhua noa.
Heoi, ki te mea he mate huka momo 2 tōu, kāore tō tinana e whakamahi tika i tēnei kī e kīia nei ko te insulin. Kātahi ka nui haere te huka i roto i te toto, kaua e uru ki ngā pūtau. Ka taea e tēnei huka nui i roto i te toto te kino i ngā oko toto puta noa i te tinana. Ka taea e te mate huka te whakararu i te mate manawa, te kino o ngā io, te mate kanohi, me te mate tākihi.
Nō reira, ko te whakamātautau OGTT te mea nui hei tirotiro mēnā kei te mōrearea koe ki te pāngia e te mate huka, mēnā rānei kua pāngia koe e te mate huka. Mā te whakamātautau OGTT poto i te wā e hapū ana ka taea hoki te kite mēnā kei te pāngia koe e te mate huka hapūtanga.
Ko wai kei te tonoa kia mahi i tēnei whakamātautau OGTT?
Mena kei a koe tētahi, neke atu rānei o ngā āhuatanga mōrearea e whai ake nei, ka tono pea tō tākuta kia whakamātauria koe ki te OGTT.
| Tauwehenga mōrearea | Whakaahuatanga |
|---|---|
| Te pikinga o te taumaha | Mena he taumaha rawa/momona tō tinana. |
| Hītori whānau | Mena he mate huka tō tetahi o tō whānau tata (whaea, pāpā, tuākana/teina). |
| toto toto tiketike | Mena he toto toto tiketike tōu. |
| Ngā triglycerides teitei | Mena he nui ngā taumata o tētahi momo ngako e kiia nei ko ngā triglycerides i roto i tō toto. |
| Te āhua o te PCOS | Mena kei a koe tētahi āhuatanga e kiia nei ko te Polycystic Ovary Syndrome (PCOS), ka puta ai ngā raruraru ki tō huringa paheketanga. |
| Tūnga i mua i te hapūtanga | Mena kua whānau mai he pēpi neke atu i te 9 pauna (tata ki te 4 kirokaramu) te taumaha, i pāngia rānei koe e te mate huka hapūtanga i tētahi wā o mua. |
He rerekē te OGTT i te wā e hapu ana?
Āe, ki te mea kei te hapu koe, me whai koe i tētahi putanga poto o tēnei whakamātautau OGTT i waenga i te 24 me te 28 wiki o te haputanga. Ka kiia tēnei whakamātautau kotahi hāora he 'whakamātautau wero huka'.
Heoi, ki te mea he nui tō tūponotanga ki te pāngia e te mate huka hapūtanga, ka tūtohu pea tō tākuta kia mahia tēnei whakamātautau i mua i te wā. Ko ēnei āhuatanga mōrearea ko:
- Kua pāngia koe e te mate huka hāputanga i tētahi wā o mua.
- He mate huka tō te whānau.
- Te momonatanga.
- Kei a koe tētahi atu āhuatanga hauora e whakanui ake ai i te mōrearea o te mate huka, pērā i te PCOS.
Mena kei te āwangawanga tō tākuta mō tō mōrearea, ki te mea rānei he teitei ngā hua o te whakamātautau kotahi hāora te roa, ka tonoa pea koe kia roa ake te whakamātautau OGTT mō te 3 hāora.
Me pēhea tāu whakarite i mua i te whakamātautau?
He tino māmā te whakarite mō tēnei.
- I mua i te whakamātautau, kai noa i te āhua noa. Kaua e whai i tētahi kai motuhake.
- Kāore e taea e koe te kai, te inu rānei i tetahi mea mō ngā hāora e 8 i mua i te whakamātautau. Ko te wā pai ki te mahi i tēnei ko te whakarite i te whakamātautau i te ata. Kātahi ka taea e koe te nohopuku i te pō.
- I roto i tēnei wā e waru hāora , ko te wai anake ka taea te inu. Kaua e inu i tētahi atu inu.
- Kōrero ki tō tākuta mō ētahi atu rongoā e tangohia ana e koe i te wā e whakaritea ai tō whakamātautau.
Me pēhea te mahi i te whakamātautau taahiraa i te taahiraa
Ka taea te whakahaere i tēnei whakamātautau OGTT i te tari o tō tākuta, i te wāhi rongoā, i te hōhipera, i te taiwhanga rānei.
1. Tuatahi, ka tangohia he tauira toto hei tirotiro i te taumata huka toto i a koe e nohopuku ana.
2. Kātahi ka hoatu he karāhe nui o te wai huka hei inu māu.
3. Muri iho, me tatari koe mō tētahi wā. I tēnei wā, kāore e taea e koe te wehe atu i te taiwhanga, i te whare hauora rānei.
4. Mena kei te whakahaere koe i tētahi whakamātautau mate huka auau , me inu e koe te wai huka, kātahi ka tangohia he tauira toto anō i muri i ngā haora e rua .
5. Mena kei te whakamātautau koe i te mate huka hapūtanga (3 hāora) , me inu e koe te wai huka, ā, ka tangohia he tauira toto i te 1 hāora, 2 hāora, me te 3 hāora .
Kia oti te whakamātautau, ka taea e koe te hoki ki ō mahi o ia rā.
He mōrearea kei roto i tēnei whakamātautau?
He whakamātautau tino haumaru te whakamātautau OGTT, engari ka pāngia pea ētahi tāngata e ngā pānga taha iti.
Ngā mea ka pā mai i ngā inu huka:
- Whakapairuaki
- Ruaki
- Te whakakī i te puku
- Ānini
- Te iti o te huka toto (he tino onge)
Ngā mea ka pā mai i te tuku toto:
- Te toto nui rawa
- Pōuriuri
- Tūnga mate
- He mamae iti i te ngana tonu ki te kimi i te uaua toto
- He maru, he mamae rānei i te wāhi i werohia ai
He tino iti noa iho ēnei mea, ā, ka tere te ora.
He aha tā ngā hua e kī ana?
I muri i tō inu i te inu huka, ka piki ake te taumata huka toto, ā, me hoki anō ki te āhua noa i muri i tētahi wā nā te mahi a te homoni insulin. Mēnā ka roa te wā e hoki ai ki te āhua noa, he tohu pea tēnei nō te mate huka. Ko ngā hua o tō pūrongo ka whakaaturia i roto i te "mg/dL" (miramira ia teririta).
| Taumata huka toto (mg/dL) | Te tikanga |
|---|---|
| Te tirotiro mate huka auau (OGTT 2-hāora) | |
| 139 mg/dL, iti iho rānei | Noa : Ka pai te whakahaere o tō tinana i te huka. |
| I waenga i te 140 mg/dL me te 199 mg/dL | Te mate huka i mua i te mate huka : He nui ake tō tūponotanga ki te pāngia e te mate huka. |
| 200 mg/dL, neke atu rānei | Mate huka . Tērā pea kei a koe te mate huka. |
| Te tirotiro i te mate huka hāputanga (OGTT 3-hāora) | |
| nohopuku | Me iti iho i te 95 mg/dL . |
| I muri i te 1 hāora | Me iti iho i te 180 mg/dL . |
| I muri i ngā hāora e rua | Me iti iho i te 155 mg/dL . |
| I muri i ngā hāora e 3 | Me iti iho i te 140 mg/dL . |
Ko te tikanga o te mate huka kei te piki ake tō tupono ki te pāngia e te mate huka. He tohu whakatūpato tēnei. Ki te huri koe i tō momo noho i tēnei wā, ka taea e koe te ārai i te mate huka.
Mena he nui ake tētahi o ngā hua o runga ake nei i te mea noa, ka tūtohu te tākuta kia whakamātauhia anō ia i roto i ētahi wiki. Mena e rua, neke atu rānei ngā hua, kua tautuhia kei te mate huka hapūtanga ia.
He aha te mea ka tupu i muri i te whakamātautau?
Mā tō tākuta koe e whakamārama he aha te mahi e whai ake nei i runga i ngā hua o te whakamātautau.
- Mena kei a koe te mate huka: Ka kōrero tō tākuta ki a koe mō ngā huarahi hei ārai i tōna whanaketanga hei mate huka. Ko te whakakori tinana me te whakaiti taumaha ngā huarahi pai e rua hei whakaiti i tō tupono ki te mate huka.
- Mena he mate huka tōu: Tērā pea ka tonoa koe kia mahi i ētahi atu whakamātautau, pērā i te A1c, hei whakaū i tō mate. Mā te kai hauora, te whakakori tinana, me te rongoā ka āwhina i te whakahaere i ō taumata huka toto.
- Mena he mate huka hāpu tōu: Ka taea e koe te whakahaere i tēnei āhuatanga mā te kai pai me te whakakori tinana. Me hoki anō ō taumata huka toto ki te āhua noa i muri i te whānautanga o tāu pēpi. Heoi, ko te tangata kua pāngia e te mate huka hāpu he nui ake te tūponotanga ki te whakawhanake i te mate huka momo 2 a muri ake nei. Koia te mea nui kia mau tonu te oranga hauora.
Ko te mea nui ko te kōrero ki tō tākuta mō ēnei mea katoa, me te whai i ana tohutohu kia tika.
Karere Tangohia ki te Kāinga
- He whakamātautau nui te OGTT e tirotiro ana i te whakamahinga a tō tinana i te huka.
- Ka āwhina tēnei ki te tautuhi i te mate huka me te mate huka hapūtanga.
- He mea tika kia nohopuku mō ngā haora e 8 i mua i te whakamātautau.
- I runga i ngā hua o te whakamātautau, ka hoatu e tō tākuta te tohutohu tino tika ki a koe.
- He whakamātautau haumaru tēnei, he iti rawa te mōrearea, nō reira kaua e wehi.
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